<div class="col-lg-12 wrapperbox">
	<form class="form-horizontal" role="form" method="POST">	  
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">单位名称</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbunitname" placeholder="单位名称">         
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">简码</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbshortcode" placeholder="简码">         
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">单位地址</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbaddress" placeholder="单位地址">         
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">联系人</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbcontact" placeholder="联系人">
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">联系电话</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbtel" placeholder="联系电话">
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">供货品类</label>
			<div class="col-sm-10">
				<select class="form-control" id="tbclass">
					<option>猪肉</option>
					<option>牛肉</option>
					<option>白菜</option>
					<option>蒜苗</option>
					<option>小葱</option>
				</select>
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">结算户名</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbusername" placeholder="结算户名">
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">结算银行</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbbank" placeholder="结算银行">
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">结算账号</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbbanknum" placeholder="结算账号">
			</div>
		</div>
		<div class="form-group">
			<label for="" class="col-sm-2 control-label">排序</label>
			<div class="col-sm-10">
				<input type="text" class="form-control" id="tbsort" placeholder="排序">
			</div>
		</div>
	   </form> 		
   </div>